Organization
LAKE REGION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA SVEDBERG (CFO)
(701) 662-8681
Entity
Organization
Contact information
Practice address
340 2ND AVE SW, LEEDS, ND 58346
(701) 662-8681
Mailing address
224 3RD ST NW, DEVILS LAKE, ND 58301-2908
(701) 662-8681
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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